Individual
MISS SHANTHA NI JAYARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BPHARM
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2828
Mailing address
7530 CHABLIS CIR, INDIANAPOLIS, IN 46278-1538
(317) 988-2828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018407A
IN
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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